GOODS Program Application – Human Groups

The GOODS Program – Humans

Organization

Organization Type

Federal ID #

Proof of Non-Profit Status – IRS Determination Letter

Choose File

Receive any government grants?

Website Address

Primary Contact Name

Applicant’s Position in Organization

Phone Number

Street Address (No PO Boxes)

City

State

Zip Code

Number of active volunteers

Number of employees

Do you conduct background checks on all employees/volunteers

Do you provide housing?

If yes, do you follow fair housing laws?

Do you provide food to people?

If yes, do you have all the reuired health and safety permits?

Is this organization faith-based?

If yes, are religious activities required in order to receive goods or services?

Do you have a relationship with a resale/thrift store?

How far away from East Ridge TN are you located?

Mission Statement

Describe Program

Why are you requesting support from The GOODS Program?

What sources do you receive funding from?

Where are donations of in-kind goods stored and is it secure?

How do you distribute donations? Is there a verification process to ensure only individuals who are in need receive the goods?

Do you share donations with other organizations?

How do you plan to use the GOODS donations?

will you provide picutres and stories of recipients who receive supplies from the GOODS program? If so, do you have proper release of information documents in place to ensure all approvals are obtained?

How did you hear about our program?

Reference 1: Name, Phone Number, and Relation to Group

Reference 2: Name, Phone Number, and Relation to Group

Interview Times

I have read and agree to the Terms and Conditions. (Will open a new window.)

Signature

Date

Copy of GOODS Program Application – Non-Rescue Animal Groups

GOODS Program Application – Human Groups